Provider Demographics
NPI:1639879869
Name:HOGUET, JESSICA ZARA (LCSW)
Entity type:Individual
Prefix:MS
First Name:JESSICA
Middle Name:ZARA
Last Name:HOGUET
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:MS
Other - First Name:JESSICA
Other - Middle Name:COGSWELL
Other - Last Name:ZARA-HOGUET
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:80 ROGERS WAY
Mailing Address - Street 2:
Mailing Address - City:DUXBURY
Mailing Address - State:MA
Mailing Address - Zip Code:02332-4959
Mailing Address - Country:US
Mailing Address - Phone:617-775-8174
Mailing Address - Fax:
Practice Address - Street 1:17 UNION ST
Practice Address - Street 2:
Practice Address - City:HINGHAM
Practice Address - State:MA
Practice Address - Zip Code:02043-2922
Practice Address - Country:US
Practice Address - Phone:781-741-1560
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-03-07
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA210280104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker